The beneficial actions of the androgen hormone testosterone on the structure, function, and survival of neurons and other cells within the central and peripheral nervous systems. These effects extend beyond typical anabolic roles, encompassing the hormone’s capacity to reduce oxidative stress, mitigate inflammation, support myelin integrity, and enhance cognitive function. Maintaining adequate testosterone levels, or providing targeted support, is a strategy for promoting long-term neurological health and cognitive resilience, particularly as men age.
Origin
This concept is a modern refinement of endocrinology and neuroscience, moving past the traditional view of testosterone as solely a sex hormone to recognize its broad neurosteroid functions. Research demonstrating the presence of androgen receptors in key brain regions like the hippocampus and cortex provides the anatomical basis for these protective effects.
Mechanism
Testosterone exerts its neuroprotective effects through multiple pathways, including direct binding to androgen receptors to modulate gene transcription and via its aromatization into estrogen, which then acts on estrogen receptors. These actions promote the release of neurotrophic factors, such as BDNF, and stabilize mitochondrial function within neurons, thereby increasing resistance to excitotoxicity and apoptotic signaling. This hormonal influence is essential for preserving neural connectivity and memory function.
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